Kaliana (b. March 2024) is a lovely little girl with a cheerful smile. Kaliana is very delayed developmentally as she cannot balance her head upright, her right side is weak, and she cannot fully rollover. Kaliana appears to recognize the caregiver’s voice, as she smiles when the caregiver speaks to her. Kaliana is fed through a G-Tube. She has seizures but they are controlled with medication. Kaliana requires a nebulizer and is receiving follow-up services for her vision. She seems to be able to track movement as well as people’s voices. Kaliana smiles and makes noises when she is enjoying something.